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Outcome of complex tibial plateau fractures treated with external fixator

BACKGROUND: Tibial plateau fractures are usually associated with communition and soft tissue injury. Percutaneous treatment of these complex fractures is intended to reduce soft issue complications and postoperative stiffness of the knee joint. We assessed the complications, clinical outcome scores,...

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Autores principales: Mankar, Sushil H, Golhar, Anil V, Shukla, Mayank, Badwaik, Prashant S, Faizan, Mohammad, Kalkotwar, Sameer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491793/
https://www.ncbi.nlm.nih.gov/pubmed/23162152
http://dx.doi.org/10.4103/0019-5413.101041
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author Mankar, Sushil H
Golhar, Anil V
Shukla, Mayank
Badwaik, Prashant S
Faizan, Mohammad
Kalkotwar, Sameer
author_facet Mankar, Sushil H
Golhar, Anil V
Shukla, Mayank
Badwaik, Prashant S
Faizan, Mohammad
Kalkotwar, Sameer
author_sort Mankar, Sushil H
collection PubMed
description BACKGROUND: Tibial plateau fractures are usually associated with communition and soft tissue injury. Percutaneous treatment of these complex fractures is intended to reduce soft issue complications and postoperative stiffness of the knee joint. We assessed the complications, clinical outcome scores, and postoperative knee range of movements, after fluoroscopic assisted closed reduction and external fixator application. MATERIALS AND METHODS: Seventy eight complex tibial plateau fractures in 78 patients were included in the study. All fractures were managed with closed reduction and external fixator application. In 28 cases with intraarticular split, we used percutaneous cancellous screw fixation for reduction and fixation of condylar parts. In nine open fractures, immediate debridement was done. In 16 cases, elevation of depressed segment and bone grafting was required, which was done from a very small incision. All patients were clinically and radiographically evaluated at a mean followup of 26.16 months (range 6–60 months). RESULTS: Clinical results were evaluated according to the Rasmussen's criteria. Average healing time was 13.69 weeks (range 12– 28 weeks). Mean knee range of motion was 122.60° (range 110°–130°). Forty seven results were scored as excellent, 25 good, 2 fair, and 1 as poor. CONCLUSION: We believe that minimally invasive treatment by percutaneous techniques and external fixation is a fairly reasonable treatment alternative, if near anatomical reduction of joint surface can be confirmed on fluoroscopy.
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spelling pubmed-34917932012-11-16 Outcome of complex tibial plateau fractures treated with external fixator Mankar, Sushil H Golhar, Anil V Shukla, Mayank Badwaik, Prashant S Faizan, Mohammad Kalkotwar, Sameer Indian J Orthop Original Article BACKGROUND: Tibial plateau fractures are usually associated with communition and soft tissue injury. Percutaneous treatment of these complex fractures is intended to reduce soft issue complications and postoperative stiffness of the knee joint. We assessed the complications, clinical outcome scores, and postoperative knee range of movements, after fluoroscopic assisted closed reduction and external fixator application. MATERIALS AND METHODS: Seventy eight complex tibial plateau fractures in 78 patients were included in the study. All fractures were managed with closed reduction and external fixator application. In 28 cases with intraarticular split, we used percutaneous cancellous screw fixation for reduction and fixation of condylar parts. In nine open fractures, immediate debridement was done. In 16 cases, elevation of depressed segment and bone grafting was required, which was done from a very small incision. All patients were clinically and radiographically evaluated at a mean followup of 26.16 months (range 6–60 months). RESULTS: Clinical results were evaluated according to the Rasmussen's criteria. Average healing time was 13.69 weeks (range 12– 28 weeks). Mean knee range of motion was 122.60° (range 110°–130°). Forty seven results were scored as excellent, 25 good, 2 fair, and 1 as poor. CONCLUSION: We believe that minimally invasive treatment by percutaneous techniques and external fixation is a fairly reasonable treatment alternative, if near anatomical reduction of joint surface can be confirmed on fluoroscopy. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3491793/ /pubmed/23162152 http://dx.doi.org/10.4103/0019-5413.101041 Text en Copyright: © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mankar, Sushil H
Golhar, Anil V
Shukla, Mayank
Badwaik, Prashant S
Faizan, Mohammad
Kalkotwar, Sameer
Outcome of complex tibial plateau fractures treated with external fixator
title Outcome of complex tibial plateau fractures treated with external fixator
title_full Outcome of complex tibial plateau fractures treated with external fixator
title_fullStr Outcome of complex tibial plateau fractures treated with external fixator
title_full_unstemmed Outcome of complex tibial plateau fractures treated with external fixator
title_short Outcome of complex tibial plateau fractures treated with external fixator
title_sort outcome of complex tibial plateau fractures treated with external fixator
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3491793/
https://www.ncbi.nlm.nih.gov/pubmed/23162152
http://dx.doi.org/10.4103/0019-5413.101041
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